Individual provider Active NPI

Janet B Euzarraga, D.D.S.

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1356458129
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D5347 Issued in AZ
Practice address
4206 E Chandler Blvd Ste 20
Phoenix, AZ 85048-8885
Phone
(480) 494-2435
Fax
(480) 247-4333
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D5347 AZ Primary

Addresses

Primary practice location

4206 E Chandler Blvd Ste 20
Phoenix, AZ 85048-8885

Mailing address

4206 E Chandler Blvd
Suite 20
Phoenix, AZ 85048-8873
Phone (480) 494-2435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D5347AZMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1356458129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 E CHANDLER BLVD",
            "address_2": "SUITE 20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488873",
            "telephone_number": "480-494-2435",
            "fax_number": "480-247-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 E CHANDLER BLVD STE 20",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488885",
            "telephone_number": "480-494-2435",
            "fax_number": "480-247-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUZARRAGA",
        "first_name": "JANET",
        "middle_name": "B",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.